ALUMNI ASSOCIATION OF OSMANIA UNIVERSITY

Office of the Registrar, Osmania University, Hyderabad-500 007

(Regd.No.590 0f 2003)

 

MEMBERSHIP FORM

Alumni Information:

 

 

1

Name in Full: Prof. / Dr. / Mr./Mrs.

 

Dr.Parshuram.G

 

2

Present Position/ Designation

:

Consultant ENT Surgeon.

3

Address

:

No.3-3-100, Hospital Road, Karimnagar 505001

 

4

Phone No

:

9848245555

5

Fax No

:

 

6

E-Mail

:

 

7

Name of the College from where he / she has studied last

:

Osmania Medical College.

8

Courses studied

:

MBBS, M.S[ENT]

9

Year(s) of Study : From - To

:

1959 to 1965 & 1969 to 1972

10

Payment for membership is being made as  under

:

Cheque

11

Cheque / DD No

:

128234

13

Date

:

14-07-07

14

Bank

:

H.D.F.C.

15

Amount (Rs)

:

Rs 10,000/-